Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.24 / $1,348.91 / $20,400.00	Facility		$564.24	$1,348.91	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $424.17 / $963.02	Professional		$282.58	$424.17	$963.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,400.80	Facility		$1,664.70	$1,664.70	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.12 / $663.62 / $1,061.02	Professional		$362.12	$663.62	$1,061.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.03 / $743.07 / $957.98	Professional		$545.03	$743.07	$957.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.78 / $615.44 / $959.78	Facility		$369.78	$615.44	$959.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $460.60 / $626.40 / $947.75	Professional		$460.60	$626.40	$947.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $463.32 / $731.90 / $791.94	Facility		$463.32	$731.90	$791.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.29 / $659.64 / $1,113.50	Facility		$371.29	$659.64	$1,113.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.24 / $738.51 / $1,024.85	Professional		$528.24	$738.51	$1,024.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $542.76 / $757.83 / $1,060.77	Professional		$542.76	$757.83	$1,060.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.01 / $770.01 / $1,220.40	Professional		$550.01	$770.01	$1,220.40